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State of IllinoisIllinois Department of Public Health
Illinois Lead Program Annual Surveillance Report 2009
Inside front cover.
Inside front cover.
January 2011
Dear Colleagues:
The Illinois Lead Program is pleased to present the 2009 annual surveillance report. The report provides
information on childhood lead poisoning prevention activities within the state.
Illinois still leads the nation in the number of lead poisoned children. In 2009, a total of 1,396 newly confirmed
cases of lead poisoned children were identified in the state. Deteriorated lead paint is the primary source of
lead poisoning and about 2 million Illinois pre-1978 housing units are estimated to have lead-based paint. The
irreversible health effects of lead poisoning include learning disabilities and behavior problems.
In collaboration with local health departments, advisory groups and federal partners, the Illinois Lead Program
has been working diligently to achieve its goal of eliminating childhood lead poisoning in Illinois. In 2009, case
management services were provided to 3,171 lead poisoned children and 2,624 environmental investigations
were initiated.
In accordance with the U.S. Centers for Disease Control and Prevention (CDC), the Illinois Lead Program has
begun a new approach in addressing additional health hazards in homes. According to CDC, the goal of the
new approach is to identify, eliminate or mitigate health and safety issues in the home environment.
As we work together to eliminate childhood lead poisoning and prevent other hazards affecting children in
their home environment, we look forward to a continued collaboration with our partners at the federal, state
and local levels.
Sincerely,
Damon T. Arnold, M.D., M.P.H.
Director
Improving public health, one community at a time
printed on recycled paper
Pat Quinn, Governor
Damon T. Arnold, M.D., M.P.H., Director
5 2 5 - 5 3 5 We s t J e f f e r s o n S t r e e t • S p r i n g f i e l d , I l l i n o i s 6 2 7 6 1 - 0 0 0 1 • w w w. i d p h . s t a t e . i l . u s
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ILLINOIS DEPARTMENT OF PUBLIC HEALTH
Illinois Lead Program Annual Surveillance Report 2009
Prepared by
Frida D. Fokum, M.S., Ph.D.
Quality Assurance Manager
Eddie Simpson, B.S.B.
Illinois Lead Program Data System Administrator
Sam Churchill, M.S.
Illinois Lead Program Manager
Acknowledgements
This report is made possible by the diligent work of the Illinois Lead Program staff. Thanks to all the physicians,
hospital administrators, local health department administrators, directors of laboratories and medical
professionals who screen, diagnose, perform blood lead analyses and treat lead poisoned children in Illinois.
This publication was supported by Grant Number 5H64EH000161-04 from the U.S. Centers for Disease
Control and Prevention. Its content is solely that of the responsibility of the authors and does not necessarily
represent the official views of the Centers for Disease Control and Prevention.
Technical assistance for Geographic Information System (GIS) mapping was provided courtesy of Ken McCann,
special projects manager, Division of Environmental Health, Illinois Department of Public Health. Special
thanks to Eleanor Davis, Roxane Fleming, Tracey Kriepe and Sharon Berry for editorial support.
Suggested citation
Fokum, F.D.; Simpson, E.; and Churchill, S. Illinois Lead Program Annual Surveillance Report 2009. Illinois Department
of Public Health, Springfield, Illinois, December 2010 Edition
Copyright information
All material in this report is in the public domain and may be reproduced or copied without permission;
citation as to source, however, is appreciated. The Illinois Department of Public Health, Illinois Lead Program,
makes the annual surveillance data available as a public service. Use of the data does not constitute an
endorsement of the user’s opinion or conclusions by the Department and none should be inferred.
To report the results of all blood lead tests or
for more information about the elimination of childhood lead poisoning, contact the
Illinois Lead Program at 866-909-3572 or 217-782-3517
or visit
http://www.idph.state.il.us/envhealth/ehpublications.htm#lead
The deaf or hard of hearing may dial 800-547-0466.
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ILLINOIS DEPARTMENT OF PUBLIC HEALTH
Illinois Lead Program Annual Surveillance Report 2009
Table of Contents
Introduction.............................................................................................................................................................................1
Illinois Statistics on Childhood Lead Poisoning for Calendar Year 2009 ...................................................................2
Illinois Lead Poisoning and Screening Rates: 1996 - 2009.............................................................................................3
Blood Lead Levels by Age: Age at Which Children Should be Tested .........................................................................5
Distribution of Elevated Blood Lead Levels and Adverse Effects ................................................................................6
Lead Screening Activities in Illinois, Chicago and United States: 2006-2009.............................................................8
Population of Children, Number Tested and Blood Lead Levels by County: 2008-2009 .......................................9
Blood Lead Screening Activities by Month in 2009......................................................................................................12
Pre-1978 Housing Units and Lead Poisoned Children Younger Than 3 Years of Age ...........................................13
Factors Affecting Cost of Lead Poisoning Abatement or Remediation ...................................................................17
Lead Poisoning and Medicaid Enrolled Children...........................................................................................................20
Regional Distribution of Lead Poisoned Children Identified in 2009.......................................................................22
Case Management and Healthy Homes Tips for Lead Poisoned Children .............................................................23
Environmental Investigations and Follow-up of Lead Poisoned Children ...............................................................29
Educational Activities to Prevent Lead Poisoning in Illinois........................................................................................32
Healthy Homes Initiatives ..................................................................................................................................................33
Illinois Lead Elimination Advisory Council .....................................................................................................................34
Illinois Lead Poisoning Prevention Internet Resources ...............................................................................................35
Contact Information ...........................................................................................................................................................36
ILLINOIS DEPARTMENT OF PUBLIC HEALTH
Illinois Lead Program Annual Surveillance Report 2009
List of Tables1. Summary Statistics on Illinois Childhood Lead Poisoning for Calendar Year 2009..........................................2
2. Blood Lead Levels as Percentage of Illinois Children Tested by Levels: 1996 – 2009 ......................................6
3. Lead Screening Activities in Illinois, Chicago and United States: 2006 - 2009 ...................................................8
4. Estimate of 2008 Population of Children, Number of Children Tested and Blood Lead Levels by County:
2008-2009 .........................................................................................................................................................................9
5. Estimated Pre-1978 Housing Units and Lead Poisoning Data of Children Younger Than 3 Years of Age in
2009 .................................................................................................................................................................................13
6. Estimate of the Number of Housing Units in Illinois With Lead Hazards .......................................................16
7. Medical Management Based on Symptoms and Blood Lead Concentration ...................................................27
8. Number of Housing Units Referred for Inspection That Were Remediated and Passed Lead Clearance
Testing in 2009...............................................................................................................................................................30
9. Regional Environmental Lead Investigation, Mitigation, or Abatement Activities in 2009.............................30
List of Figures 1. Lead Poisoning and Screening Rates: 1996-2009......................................................................................................3
2. Percentage of Tested Children With Elevated Blood Lead Levels by Age, 2009 ..............................................5
3. Percentage of Children With Elevated Blood Lead Levels by Age: 1996 - 2009 ..............................................5
4. Distribution by Percentage of Elevated Blood Lead Levels in Micrograms per Deciliter, 2009 ....................6
5. Percentage of Children With Elevated Blood Lead Levels by Race and Ethnicity, 2009..................................7
6. Children With Elevated Lead Levels by Race and Ethnicity: 1996-2009 .............................................................7
7. Children Tested With Elevated Lead Levels by Month in 2009...........................................................................12
8. Percentage of Children Younger Than 3 Years of Age With Elevated Blood Lead Levels in 2009 by
County Based on Number of Children Tested.......................................................................................................18
9. Percentage of Children Living in Housing Units Built Before 1980 by County ..............................................19
10. Medicaid and Non-Medicaid Children Tested for Blood Lead Poisoning: 1996-2008....................................20
11. Medicaid and Non-Medicaid Children Tested With Elevated Lead Levels of 10 Micrograms per Deciliter
or Greater: 1996-2008 ................................................................................................................................................20
12. Percentage of Illinois Children Tested With Elevated Blood Lead Levels by Medicaid and Non-Medicaid
Status: 1996 – 2008……………………………………………………. .........................................................21
13. Percentage of New Cases of Lead Poisoned Children by Medicaid and Non-Medicaid Status: 1996-
2008………………...……………………………………………………. ......................................................21
14. Confirmed (Venous) Cases of Lead Poisoned Children Identified in 2009 .....................................................22
15. Number of Lead Poisoned Cases Managed by the Department and Delegate Agency Staff in 2009........24
16. Illinois Lead Program Assessment and Screening Algorithm ...............................................................................28
17. Number of Environmental Investigations for Lead Poisoning by the Department and Delegate Agency
Staff in 2009....................................................................................................................................................................31
ILLINOIS DEPARTMENT OF PUBLIC HEALTH
Illinois Lead Program Annual Surveillance Report 2009
Introduction
Illinois leads the nation with the highest number of lead poisoned children1. Between 1993 and 2009, more
than 2 million Illinois children have been tested for blood lead poisoning, with more than 10 percent confirmed
as lead poisoned cases. In 2009 alone, there were 3,720 known Illinois children with elevated levels of 10
micrograms of lead per deciliter of blood.
Childhood lead poisoning can lead to irreversible health problems ranging from reduced IQ to learning and
behavioral problems. Lead poisoning is one of the most preventable environmental health hazards that can
affect any family regardless of race, socioeconomic status or education. The major source of lead poisoning
is lead-based paint, common in pre-1978 housing units. There are more than 3.5 million pre-1978 housing
units in Illinois and about 2 million are estimated to contain lead-based paint.
The mission of the Illinois Lead Program is to eliminate childhood lead poisoning. The Illinois Lead Program
is committed to the Healthy People goal of eliminating elevated lead levels in children. Illinois law requires
that all blood lead test results on children 15 years of age or younger be reported to the program. The vast
majority of 2009 tests (92 percent) were performed on children younger than 6 years of age. According to
the Get the Lead Out Program, it costs, on average, about $9,000 to $11,000 to remediate the home of a lead
poisoned child in Illinois compared to the national cost range of $1,200 to $10,800 per housing unit2.
The information contained in this report is compiled by the Illinois Department of Public Health’s Illinois
Lead Program. This report is intended to serve as a standard reference for legislators, community-based
organizations, city, state and federal agencies, as well as health researchers who seek information on child-
hood lead poisoning in Illinois.
1 CDC National Surveillance Data downloaded on November 2010.
http://www.cdc.gov/nceh/lead/data/StateConfirmedByYear_1997_2007Web.htm
2 Gould, E., 2009, Childhood Lead Poisoning: Conservative Estimates of the Social and Economic Benefits
of Lead Hazard Control. Environ Health Perspect 117:1162-1167
1
ILLINOIS DEPARTMENT OF PUBLIC HEALTH
Illinois Lead Program Annual Surveillance Report 2009
2
Illinois Statistics on Childhood Lead Poisoning
for Calendar Year 2009
Table 1. Summary Statistics on Illinois Childhood Lead Poisoning for Calendar Year 2009
VariableTotal Tested Elevated Blood Lead Levels
of 10 Micrograms per
Deciliter or Greater (%)Number (N) Percentage (%)
Total number of blood lead testsa 332,084
Total number of children tested 297,227 28.0b 1.3
Age (years)
Younger than 1 37,193 13.0 0.6
1 68,779 23.0 1.4
2 50,103 17.0 1.8
3 43,024 14.0 1.5
4 39,409 13.0 1.1
5 33,019 11.0 0.8
6 and older 23,771 8.0 1.0
Gender
Female 142,480 48.0 1.1
Male 147,620 50.0 1.3
Undetermined 7,127 2.0 1.3
Known Racial/Ethnic Distribution of Blood Lead Levelsc
African American 17,108 5.8 4.0
White 29,820 10.0 2.1
Hispanic 8,202 2.8 1.2
Asian 1,337 0.4 2.1
Blood Specimen Type
Capillary 107,860 36.3 0.3
Venous 189,157 63.6 0.9
Undetermined 210 0.1 Less than 0.1
Laboratories Reporting Results 130
Records With Missing Addresses 14,423 4.9 0.2
Blood Lead Levels in Micrograms per Deciliter (µg/dL)
≤4 252,560 Source: Illinois Lead Program Surveillance Data, 2009
a. Data includes multiple tests per child
b. The most current available National Center for
Health Statistics 2008 estimated population of
Illinois children younger than 6 years of age was
1,069,506.
c. Collection of race and ethnicity data remains a
challenge
5-9 40,947
≥10 3,720
10-14 2,298
15-19 732
20-24 293
≥25 397
Illinois Lead Poisoning and Screening Rates: 1996 - 2009
The significant decrease in the blood lead poisoning rate in Illinois children from 20.1 percent in 1996 to
1.3 percent in 2009 is a public health success story. Figure 1 illustrates the screening and lead poisoning
rates in Illinois children. The lead poisoning rate is based on the percentage of children tested with blood
lead levels of 10 micrograms per deciliter or greater. The Illinois Lead Program is truly committed to the
Healthy People 2010 goal of eliminating elevated blood lead levels in children. Since 1993, the program has
successfully addressed childhood lead poisoning, overseeing the delivery of services to Illinois children with
elevated blood lead levels and fostering programs and partnerships to reduce exposure to lead.
Despite the significant decline in lead poisoned children, the percentage of Illinois children with elevated
lead levels exceeds the national estimate. In 2009, approximately 3,720 children were identified in Illinois
with elevated lead levels. According to 2007 data from CDC, 1.0 percent of children in the United States
are lead poisoned compared to 1.8 percent in Illinois in 2007.
Figure 1
Source: Illinois Lead Program Surveillance Data, 1996-2009, The United States average is based on the data reported
by the U.S. Centers for Disease Control and Prevention (CDC) at: http://www.cdc.gov/nceh/lead/data/national.htm
ILLINOIS DEPARTMENT OF PUBLIC HEALTH
Illinois Lead Program Annual Surveillance Report 2009
3
30.0
25.0
20.0
15.0
10.0
5.0
0.01996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009
Prevalence Rate: Illinois 20.1 18.7 13.9 11.1 9.4 7.3 6.3 4.9 3.6 3.0 2.3 1.8 1.7 1.3
Prevalence Rate: United States 7.6 6.5 5.0 4.0 3.0 2.6 2.0 1.8 1.6 1.2 1.0
Screening Rate: Illinois 19.6 20.4 19.5 19.8 19.7 22.3 21.3 21.2 21.5 21.9 22.1 22.4 23.9 28.0
s
Lead Poisoning and Screening Rates: 1996-2009
Ch
ild
ren
wit
h E
levate
d
Lead
Levels
(%
)
ILLINOIS DEPARTMENT OF PUBLIC HEALTH
Illinois Lead Program Annual Surveillance Report 2009
4
Notes: Screening rate was calculated as the total number of children younger than 6 years (72 months) of
age tested for blood lead levels divided by total number of children younger than 6 years of age, based on
U.S. Census data per 100 populations. The testing rate for blood lead poisoning has remained fairly constant
with an increase from less than 20 percent in 1996 to 28 percent in 2009. Nationally, CDC reported a 13
percent testing rate for 2007 compared to 24 percent testing rate in Illinois in 2007.
Lead poisoning rate was calculated as the total number of children younger than 6 years of age with elevated
lead levels of 10 micrograms per deciliter divided by total number of children 6 years of age tested for
blood lead.
Mission
The mission of the Illinois Lead Program is to eliminate the incidence of childhood lead poisoning.
Vision
Provide a lead safe environment for all Illinois Children
Goal
• Prevent childhood lead poisoning through community education and public awareness campaigns
• Identify lead poisoned children and provide prompt interventions to reduce blood lead levels and
improve health and developmental outcomes
Blood Lead Levels by Age:
Age at Which Children Should be Tested
Figure 2
Figure 2 indicates that Illinois children between
the ages of 1 and 3 are at highest risk for
lead poisoning. This may be attributed to
their frequent hand-to-mouth activities.
Illinois law requires physicians to screen
children 6 months through 6 years of age
who live in high risk areas for lead poisoning.
Before attending a licensed daycare, kinder-
garten or school, Illinois law also requires
parents or legal guardians to provide a state-
ment from a physician or health care provider
that the child has been assessed for lead risk
if residing in a low-risk area, or screened if
living in a high-risk area for pediatric blood lead poisoning. The Illinois Department of Public Health, the
American Academy of Pediatrics and the U.S. Centers for Disease Control and Prevention recommend that
children be tested at 1 and 2 years of age for lead poisoning.
Figure 3
Figure 3 shows that although the number of children with elevated lead levels has steadily declined across
time, children 2 and 3 years of age have the highest levels of lead irrespective of the year of age of exposure.
ILLINOIS DEPARTMENT OF PUBLIC HEALTH
Illinois Lead Program Annual Surveillance Report 2009
5
0.0
0.5
1.0
1.5
2.0Age (Years)
Percentage of Tested Children With Elevated
Blood Lead Levels by Age, 2009
Per
cent
of C
hild
ren T
este
d in 2
009
With O
ne
or
More
Ele
vate
d L
evel
s
of 10 M
icro
gram
s per
Dec
ilite
r or
Gre
ater
(%
)
<1 1 2 3 4 5 6+Age (Years)
Source: Illinois Lead Program Surveillance Data, 2009
0
5
10
15
20
25
<1 1 2 3 4 5 6Perc
enta
ge o
f Ch
ildre
n W
ith
Elev
ated
Blo
od L
ead
Leve
ls o
f 10
mic
rogr
ams
per
Dec
ilite
r by
Age
Age of Child (years)
Percentage of Children With Elevated Blood Lead Levels by Age: 1996 - 2009
1996
1999
2006
2009
Source: Illinois Lead Program Surveillance Data, 1996-2009
ILLINOIS DEPARTMENT OF PUBLIC HEALTH
Illinois Lead Program Annual Surveillance Report 2009
6
Distribution of Elevated Blood Lead Levels and Adverse EffectsFigure 4
Although the level of concern is primarily equal to or
greater than 10 ug/dL, the persistence of lead levels
less than 10 ug/dL in blood may lead to developmental
delays, learning problems or lower attention span.
Figure 4 shows that 59 percent of lead poisoned
children in Illinois have moderate lead levels between
10 and 14 micrograms per deciliter. Moderate levels may
result to constipation, abdominal pain, poor appetite,
or anemia. High levels of lead in the body can lead to
vomiting, irritability, lethargy, seizures and even death.
Table 2. Blood Lead Levels as Percentage of Illinois Children Tested by Levels: 1996 – 2009
The number of children with
severe levels of blood lead has
decreased with time (Table 2). In
2009, 61 children (0.05 percent)
had lead levels of 45 micrograms
per deciliter and higher compared
to 445 children in 1996 (0.19
percent). It usually takes about 24
months for half of the blood lead
levels of more than 25 micrograms
per deciliter to drop to 10 micro-
grams per deciliter1.
45+1%
25-449%
20-248%
15-1920%
10-1459%
Distribution by Percentage of Elevated Blood
Lead Levels in Micrograms per Deciliter, 2009
Source: Illinois Lead Program Surveillance Data, 2009
Year
Total
Number of
Children
Tested
Elevated Blood Lead Levels as Percentage of Illinois
Children Tested by Year and Levels: 2000 – 2009
5-9
µg/dL
10-14
µg/dL
15-19
µg/dL
20-24
µg/dL
25-44
µg/dL
45+
µg/dL
1996 235,290 38.3 11.8 4.7 1.8 1.7 0.19
1997 245,093 37.3 11.1 4.3 1.7 1.5 0.19
1998 234,417 35.1 8.8 2.8 1.1 1.0 0.14
1999 239,571 32.7 7.2 2.2 0.8 0.8 0.10
2000 244,442 31.7 6.1 1.9 0.8 0.6 0.08
2001 277,788 29.4 4.7 1.5 0.6 0.5 0.07
2002 263,069 28.5 4.1 1.3 0.5 0.4 0.06
2003 267,997 25.2 3.2 1.0 0.4 0.3 0.05
2004 272,757 22.7 2.4 0.7 0.2 0.2 0.03
2005 275,108 21.6 2.0 0.6 0.2 0.2 0.03
2006 278,078 19.9 1.6 0.4 0.2 0.2 0.03
2007 296,998 16.2 1.1 0.3 0.2 0.2 0.03
2008 304,807 14.6 1.0 0.3 0.1 0.2 0.03
2009 297,227 13.8 0.7 0.2 0.1 0.1 0.02
Source: Illinois Lead Program Surveillance Data, 1996-20091Roberts et al. J. Tox Clin Tox 2001
ILLINOIS DEPARTMENT OF PUBLIC HEALTH
Illinois Lead Program Annual Surveillance Report 2009
7
Figure 5
Figure 5 indicates that African-
American children are twice as likely
to be affected by lead poisoning
compared to white children (4.01
versus 2.1 percent). Of the 1,337
known Asian children tested, 2 per-
cent were lead poisoned. About 1.2
percent known cases of Hispanic
children exhibited elevated levels
of lead.
Figure 6
Figure 6 demonstrates the differ-
ence in lead poisoning by race and
ethnicity across time. Although efforts
to continue the elimination of the
preventable causes of lead poisoning
among children of all races is highly
recommended, the remarkable dis-
parity in lead poisoned children is
cause for concern. Collection of
race and ethnicity data remains a
challenge. Figures 5 and 6 reflect the
elevated blood lead levels of children
whose racial status were revealed.
0.0
0.5
1.0
1.5
2.0
2.5
3.0
3.5
4.0
4.5
5.0
45+ 25-44 20-24 15-19 10-14
HispanicWhiteAsianAfrican American
Percentage of Children With Elevated Blood Lead Levels
by Race and Ethnicity, 2009
Perc
en
t o
f C
hild
ren
Wit
h B
loo
d L
ead
Levels
of
10 M
icro
gra
ms
per
Decilit
er
an
d A
bove
Source: Illinois Lead Program Surveillance Data, 2009
0
5
10
15
20
25
30
35
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
Asian African American White Hispanic
Children With Elevated Lead Level
by Race and Ethnicity: 1996-2009
Perc
en
t o
f Il
lin
ois
Ch
ild
ren
Test
ed
Wit
h
Blo
od
Lead
Levels
of
10 m
cg/d
L o
r G
reate
r
Source: Illinois Lead Program Surveillance Data, 1996-2009
ILLINOIS DEPARTMENT OF PUBLIC HEALTH
Illinois Lead Program Annual Surveillance Report 2009
8
2006 2007 2008 2009
Illinois
Total number of
children tested278,078 22% 296,998 24% 304,807 25% 297,227 28%
5-9 µg/dL 55,315 20% 48,102 16% 44,445 15% 40,947 14%
Lead poisoning rate
( ≥ 10 µg/dL)6,460 2.3% 5,270 1.8% 5,126 1.7% 3,720 1.3%
Illinois Excluding Chicago
Total number of
children tested175,231 148,176 162,968 190,718
5-9 µg/dL 25,326 14% 21,207 14% 16,428 10% 14,679 8%
Lead poisoning rate
( ≥ 10 µg/dL)3116 1.8% 2,643 1.8% 2,439 1.5% 2,213 1.2%
Chicago
Total number of
children tested102,847 105,788 116,164 116,372
5-9 µg/dL 29,989 29% 26,895 25% 28,017 24% 26,268 23%
Lead poisoning rate
( ≥ 10 µg/dL)3,344 3.2% 2,627 2.5% 2,306 2.0% 1,617 1.4%
United States
Total number of
children tested3,262,866 3,136,843
Lead poisoning rate
( ≥ 10 µg/dL)39,526 1.2% 31,524 1.0%
Lead Screening Activities in Illinois, Chicago and
United States: 2006-2009Table 3. Lead Screening Activities in Illinois, Chicago and United States: 2006 - 20091
Source: Illinois Lead Program Surveillance Data, 2006-2009 and Centers for Disease Control and Prevention (CDC)
Blood Lead Surveillance Data, 2006-2007
1The Illinois data includes capillary and venous tests to account for all children whose blood lead results
were reported to the Department. Blood lead test results were reported for children up to the age of 15
with 92 percent from children 6 years of age and younger. This report also accounts for tests results obtained
with hand-held analyzers. There were 25,675 records in 2008 and 14,423 records in 2009 with incomplete
addresses making classification of all the data in Illinois challenging.
Note. 2At this time, 2006 and 2007 are the most recent available data from the Centers for Disease Con-
trol and Prevention (CDC).
ILLINOIS DEPARTMENT OF PUBLIC HEALTH
Illinois Lead Program Annual Surveillance Report 2009
Population of Children, Number Tested and Blood Lead Levels
by County: 2008-2009Table 4. Estimate of 2008 Population of Children, Number of Children Tested and Blood Lead
Levels by County: 2008-2009
County
2008
Estimated
Population of
Children
Younger Than
6 Years of Age
Total
Tested
2008
Total
Tested
2009
5-9 10-14 15-19 20-24 25+ 5-9 10-14 15-19 20-24 25+
µg/dL µg/dL
Adams 4,894 807 73 26 6 4 2 678 71 18 7 0 2
Alexander 674 139 9 1 0 0 0 134 17 3 1 0 1
Bond 1,231 279 28 4 0 0 1 317 48 2 1 2 0
Boone 4,707 763 87 10 4 1 1 1,071 86 4 2 2 1
Brown 343 77 5 2 0 2 0 77 6 2 0 1 0
Bureau 2,538 371 57 9 1 0 0 361 36 2 1 0 1
Calhoun 329 58 7 1 0 0 1 71 8 1 0 0 0
Carroll 941 293 49 10 3 0 0 273 55 1 1 1 0
Cass 1,146 417 37 4 1 0 0 424 42 10 2 0 0
Champaign 14,031 2,372 108 13 3 1 3 2,646 102 12 3 0 3
Christian 2,400 660 46 10 4 1 0 696 41 9 4 2 1
Clark 1,140 286 15 3 1 0 0 260 17 0 0 0 0
Clay 1,010 271 30 2 1 2 0 286 43 5 1 0 1
Clinton 2,558 367 17 3 1 1 0 435 22 1 0 0 0
Coles 3,299 912 96 15 3 1 2 792 76 14 4 0 1
Cook w/oChicago
201,102 48,446 4,756 252 75 41 67 47,757 4,417 226 82 30 47
Chicago 254,918 116,164 28,017 1,242 417 159 228 116,372 26,268 996 312 124 185
Crawford 1,127 285 16 1 1 0 0 246 13 3 0 1 0
Cumberland 764 159 15 3 1 2 0 187 17 2 0 1 1
DeKalb 7,945 842 65 4 2 0 2 1,103 82 8 1 1 5
DeWitt 1,162 311 37 3 1 0 3 278 36 4 1 0 1
Douglas 1,693 321 23 5 0 0 0 319 29 4 1 0 1
DuPage 72,393 7,364 412 21 5 4 5 8,335 383 11 7 5 3
Edgar 1,246 252 24 2 0 1 1 232 23 2 3 1 0
Edwards 423 123 8 0 0 0 0 99 7 1 1 0 0
Effingham 2,708 656 19 1 2 0 0 837 39 6 0 0 0
Fayette 1,459 427 30 6 1 1 1 455 37 2 1 0 1
Ford 1,012 75 8 1 0 0 0 92 5 1 2 0 0
Franklin 2,888 473 37 3 6 0 1 484 40 3 0 1 0
Fulton 2,375 391 48 9 2 2 0 368 47 5 1 0 1
Gallatin 367 147 3 2 0 0 0 124 6 0 0 0 0
Greene 967 337 18 4 1 1 0 367 28 2 1 2 0
Grundy 4,340 432 21 0 1 0 1 465 17 3 1 0 0
Hamilton 506 136 15 0 1 0 0 125 9 1 0 0 0
ILLINOIS DEPARTMENT OF PUBLIC HEALTH
Illinois Lead Program Annual Surveillance Report 2009
County
2008
Estimated
Population of
Children
Younger Than
6 Years of Age
Total
Tested
2008
Total
Tested
2009
5-9 10-14 15-19 20-24 25+ 5-9 10-14 15-19 20-24 25+
µg/dL µg/dL
Hancock 1,222 428 71 4 4 0 0 361 49 10 2 0 0
Hardin 254 44 2 1 0 0 0 44 3 0 0 0 0
Henderson 351 112 12 1 4 0 0 128 19 0 1 0 0
Henry 3,360 892 110 12 4 0 1 1,020 155 7 2 2 3
Iroquois 2,071 348 28 9 7 0 0 307 28 4 1 0 0
Jackson 3,929 1,025 37 1 0 3 1 1,025 39 3 2 1 0
Jasper 691 126 7 2 0 0 0 111 4 1 0 0 0
Jefferson 2,838 574 29 4 1 2 0 532 22 2 0 0 0
Jersey 1,505 397 22 2 1 1 0 468 32 0 1 0 0
Jo Daviess 1,338 141 15 2 0 0 2 149 20 1 1 1 0
Johnson 771 109 4 0 0 0 0 132 8 0 0 0 0
Kane 52,117 12,415 1,185 166 61 30 42 12,181 937 127 31 19 14
Kankakee 9,513 3,182 259 58 22 7 12 2,650 198 16 4 0 2
Kendall 11,419 731 14 8 1 0 0 832 23 5 0 0 0
Knox 3,368 1,082 163 22 5 3 5 1,080 165 20 8 6 3
Lake 61,022 10,961 404 49 10 9 9 11,380 331 17 13 5 2
LaSalle 8,367 1,606 439 26 12 1 2 1,348 291 20 4 1 4
Lawrence 931 352 26 4 3 1 0 338 27 3 2 1 0
Lee 2,340 194 22 5 3 1 0 207 9 6 0 1 1
Livingston 3,019 790 149 17 4 0 1 890 131 17 5 2 1
Logan 1,950 421 28 5 1 0 0 403 37 4 0 2 2
McDonough 1,662 346 34 3 1 0 2 390 43 9 1 1 0
McHenry 26,262 2,439 124 12 2 4 0 2,596 96 7 2 1 0
McLean 13,270 2,411 214 21 9 5 1 2,558 199 10 9 0 2
Macon 8,189 2,932 300 66 24 10 20 3,170 424 56 16 3 6
Macoupin 3,361 706 41 12 5 0 1 776 51 10 2 2 4
Madison 20,527 3,401 258 43 8 5 10 4,115 351 34 4 2 6
Marion 2,949 793 63 7 3 3 1 947 73 2 0 2 1
Marshall 864 185 38 2 2 0 5 259 39 2 2 2 0
Mason 1,048 304 26 2 0 1 0 370 36 2 0 0 0
Massac 1,165 215 13 0 0 0 0 198 7 1 0 0 0
Menard 818 176 8 0 0 0 0 174 10 1 0 0 0
Mercer 1,050 370 57 5 3 1 1 339 58 3 2 0 0
Monroe 2,380 249 14 1 0 0 0 253 9 0 0 0 0
Montgomery 1,929 580 61 6 2 1 0 560 52 5 0 1 0
Morgan 2,323 659 60 6 1 0 5 744 61 13 2 0 3
Moultrie 1,065 104 7 0 2 0 0 122 4 1 2 0 2
Ogle 3,774 426 39 5 1 0 1 465 33 1 1 0 2
Peoria 15,660 3,154 626 96 34 11 10 2,765 488 102 39 12 10
Perry 1,514 400 28 1 1 0 1 457 31 6 2 0 0
Piatt 1,141 225 13 1 0 1 4 179 5 3 1 0 0
ILLINOIS DEPARTMENT OF PUBLIC HEALTH
Illinois Lead Program Annual Surveillance Report 2009
11
County
2008
Estimated
Population of
Children
Younger Than
6 Years of Age
Total
Tested
2008
Total
Tested
2009
5-9 10-14 15-19 20-24 25+ 5-9 10-14 15-19 20-24 25+
µg/dL µg/dL
Pike 1,116 340 29 4 1 2 1 341 28 5 1 2 0
Pope 197 30 4 0 0 0 0 40 0 0 0 0 0
Pulaski 487 114 12 0 1 0 0 144 11 0 0 0 0
Putnam 356 72 13 1 0 0 1 54 7 1 1 0 0
Randolph 2,211 460 26 3 1 0 0 441 25 4 0 0 0
Richland 1,097 236 15 2 0 0 0 278 18 1 0 0 0
Rock island 11,529 4,329 579 70 24 11 13 4,113 719 84 25 10 10
St. Clair 22,269 7,582 678 100 29 10 9 7,704 639 57 21 5 7
Saline 1,883 758 55 4 4 1 0 681 47 2 0 0 0
Sangamon 15,192 3,505 293 71 16 9 6 3,093 246 35 11 7 5
Schuyler 451 126 23 2 0 0 0 147 8 0 0 1 0
Scott 354 118 10 4 0 0 1 95 9 1 0 0 0
Shelby 1,499 314 19 2 1 0 1 291 18 5 1 1 0
Stark 401 121 17 6 1 1 0 109 18 4 0 1 0
Stephenson 3,261 1,290 246 42 18 9 6 1,278 240 24 10 4 4
Tazewell 9,962 1,398 200 15 6 2 7 1,832 219 12 4 5 2
Union 1,329 447 31 2 1 1 1 433 25 3 1 0 1
Vermilion 6,392 1,313 144 20 8 7 3 1,151 88 15 8 1 2
Wabash 845 294 26 8 1 2 8 225 44 3 4 0 2
Warren 1,203 264 42 2 4 0 1 363 39 5 2 0 0
Washington 1,049 157 17 2 3 1 0 174 9 3 1 0 1
Wayne 1,152 435 22 1 0 0 0 344 23 2 0 0 0
White 1,037 351 26 4 0 0 0 331 26 1 1 0 0
Whiteside 4,324 1,387 116 10 10 1 10 1,375 95 13 4 2 1
Will 63,397 7,075 306 34 20 4 7 6,933 293 20 7 2 3
Williamson 4,774 678 39 5 2 2 0 556 29 1 2 0 0
Winnebago 24,687 4,196 517 54 26 8 21 6,101 570 72 21 10 9
Woodford 2,789 324 34 7 2 0 0 388 37 3 1 0 0
Unidentified 25,675 1,620 190 86 38 67 14,423 646 27 3 1 2
Illinois Total 1,069,506 304,807 44,445 3,024 1,050 433 619 297,227 40,947 2,298 732 293 336
CountyMedian
1,883 397 30 4 1 1 1 390 37 3 1 0 0
County Mean 10,381 2,971 416 28 9 4 5 2,746 391 22 7 3 4
Source: Illinois Lead Program Surveillance Data, 2006-2009 and Illinois Center for Health Statistics
Note: The total number of children tested or screened on Tables 3 and 4 for 2008 and 2009 are the actual
numbers reported to the Department. These numbers include children tested for the first time, as well as
those being retested. Where a child has multiple tests, the highest venous result is selected. If there is no
venous test, the highest capillary result is selected. The vast majority of 2009 tests (92 percent) were per-
formed on children younger than 6 years of age.
ILLINOIS DEPARTMENT OF PUBLIC HEALTH
Illinois Lead Program Annual Surveillance Report 2009
12
Blood Lead Screening Activities by Month in 2009Figure 7: Children Tested With Elevated Lead Levels by Month in 2009
Most screening for blood lead poisoning occurs during the summer months with a peak in August. Testing
slows down during the winter months especially during November and December. Figure 7 indicates that
identification of lead poisoned children increases with increased testing rates. Illinois law requires physicians
to assess or test children 6 months through 6 years of age and provide written statements to their parents
or legal guardians.
23,104 23,113
27,48028,557
25,785
28,240
31,135
42,908
32,832
25,662
18,26416,897
15000
20000
25000
30000
35000
40000
45000
Num
ber o
f Chi
ldre
n Te
sted
for
Bloo
d Le
ad P
oiso
ning
, 20
09
Illinois Children Tested for Blood Lead by Month: 2009
January February March April May June July August September October November December
EBLLs 381 382 435 464 455 569 739 966 862 541 424 413
Confirmed 277 273 312 319 306 371 482 600 627 401 321 314
0
200
400
600
800
1,000
Num
ber o
f Chi
ldre
n Te
sted
Wit
h Bl
ood
Lead
Lev
els
of 1
0 M
icro
gram
s pe
r D
ecili
ter
or G
reat
er
Illinois Children Tested With Elevated Blood Lead Levels (EBLLs) by Month: 2009
Source: Illinois Lead Program Surveillance Data, 2009
ILLINOIS DEPARTMENT OF PUBLIC HEALTH
Illinois Lead Program Annual Surveillance Report 2009
13
Pre-1978 Housing Units and Lead Poisoned Children Younger
Than 3 Years of AgeTable 5: Estimated Pre-1978 Housing Units and Lead Poisoning Data of Children Younger
Than 3 Years of Age in 2009
County
American
Community Survey
2006-2008 Known
Estimate
(pop > 20,000)**
Estimated 2008
Population of
Children Younger
Than 3 Years of Age
Number and Population
of Children Younger Than
3 Years of Age Tested
Lead Poisoning Rate
Based on Number of
Children Younger
Than 3 Years of Age
Tested
n n % %
Adams 76 2,522 401 15.9 5.5
Alexander 329 61 18.5 3.3
Bond 636 245 38.5 2.0
Boone 47 2,395 627 26.2 1.3
Brown 176 46 26.1 2.2
Bureau 83 1,243 177 14.2 1.7
Calhoun 173 47 27.2 2.1
Carroll 470 129 27.4 1.6
Cass 562 207 36.8 2.9
Champaign 59 7,357 1,939 26.4 0.8
Christian 79 1,194 513 43.0 1.6
Clark 578 197 34.1 0.0
Clay 506 214 42.3 2.8
Clinton 63 1,319 341 25.9 0.3
Coles 68 1,694 574 35.2 2.6
Cook (w/o Chicago) 102,331 24,264 23.7 0.9
Chicago* 86 130,359 57,904 44.4 1.5
Crawford 563 202 35.9 1.5
Cumberland 384 143 37.2 1.4
DeWitt 569 162 28.5 3.1
DeKalb 56 4,085 471 11.5 1.9
Douglas 838 227 27.1 2.2
DuPage 57 35,512 4,450 12.5 0.3
Edgar 637 138 21.7 0.7
Edwards 211 62 29.4 0.0
Effingham 62 1,395 367 26.3 1.1
Fayette 80 732 387 52.9 0.8
Ford 515 45 8.7 2.2
Franklin 76 1,444 251 17.4 0.4
Fulton 83 1,209 149 12.3 2.7
Gallatin 197 82 41.6 0.0
Greene 503 214 42.5 1.9
Grundy 48 2,261 213 9.4 1.4
ILLINOIS DEPARTMENT OF PUBLIC HEALTH
Illinois Lead Program Annual Surveillance Report 2009
14
County
American
Community Survey
2006-2008 Known
Estimate
(pop > 20,000)**
Estimated 2008
Population of
Children Younger
Than 3 Years of Age
Number and Population
of Children Younger Than
3 Years of Age Tested
Lead Poisoning Rate
Based on Number of
Children Younger
Than 3 Years of Age
Tested
Grundy 48 2,261 213 9.4 1.4
Hamilton 253 77 30.4 0.0
Hancock 648 257 39.7 3.9
Hardin 130 11 8.5 0.0
Henderson 174 65 37.4 0.0
Henry 82 1,725 614 35.6 1.0
Iroquois 79 1,053 140 13.3 1.4
Jackson 65 2,077 768 37.0 0.9
Jasper 344 91 26.5 1.1
Jefferson 61 1,458 443 30.4 0.2
Jersey 68 775 347 44.8 0.3
Jo Daviess 63 655 81 12.4 3.7
Johnson 376 46 12.2 0.0
Kane 52 26,257 6,783 25.8 1.7
Kankakee 65 4,876 1,552 31.8 0.8
Kendall 31 5,780 439 7.6 0.5
Knox 84 1,641 724 44.1 3.9
LaSalle 74 4,223 760 18.0 1.8
Lake 49 30,122 5,242 17.4 0.5
Lawrence 453 256 56.5 1.6
Lee 79 1,218 111 9.1 4.5
Livingston 77 1,538 528 34.3 3.8
Logan 84 990 292 29.5 2.1
Macon 80 4,193 1,944 46.4 2.7
Macoupin 69 1,707 530 31.0 1.9
Madison 68 10,360 2,380 23.0 1.1
Marion 70 1,538 695 45.2 0.3
Marshall 430 152 35.3 2.0
Mason 506 213 42.1 0.5
Massac 588 58 9.9 1.7
McDonough 77 859 292 34.0 3.4
McHenry 41 13,191 1,378 10.4 0.3
McLean 55 6,722 1,777 26.4 0.8
Menard 406 136 33.5 0.0
Mercer 527 203 38.5 2.0
Monroe 44 1,187 171 14.4 0.0
Montgomery 75 975 431 44.2 0.9
Morgan 77 1,176 476 40.5 3.4
ILLINOIS DEPARTMENT OF PUBLIC HEALTH
Illinois Lead Program Annual Surveillance Report 2009
15
County
American
Community Survey
2006-2008 Known
Estimate
(pop > 20,000)**
Estimated 2008
Population of
Children Younger
Than 3 Years of Age
Number and Population
of Children Younger Than
3 Years of Age Tested
Lead Poisoning Rate
Based on Number of
Children Younger
Than 3 Years of Age
Tested
Moultrie 553 54 9.8 5.6
Ogle 69 1,915 237 12.4 0.4
Peoria 79 8,016 1,804 22.5 4.7
Perry 76 753 263 34.9 2.3
Piatt 565 122 21.6 3.3
Pike 587 246 41.9 2.8
Pope 112 15 13.4 0.0
Pulaski 251 58 23.1 0.0
Putnam 185 32 17.3 6.3
Randolph 72 1,099 327 29.8 0.9
Richland 534 205 38.4 0.5
Rock Island 83 5,872 2,045 34.8 4.1
Saline 70 928 379 40.8 0.3
Sangamon 62 7,581 2,077 27.4 1.8
Schuyler 239 79 33.1 0.0
Scott 183 67 36.6 1.5
Shelby 76 765 216 28.2 2.8
St. Clair 63 11,372 4,313 37.9 1.1
Stark 200 53 26.5 5.7
Stephenson 76 1,701 778 45.7 3.9
Tazewell 74 5,107 1,206 23.6 1.4
Union 687 200 29.1 0.5
Vermilion 81 3,286 549 16.7 2.2
Wabash 416 147 35.3 2.7
Warren 642 201 43.5 1.0
Washington 550 71 12.9 2.8
Wayne 582 228 39.2 0.4
White 542 227 41.9 0.9
Whiteside 79 2,173 918 42.2 2.0
Will 39 31,366 3,230 10.3 0.6
Williamson 62 2,392 260 10.9 0.0
Winnebago 68 12,478 3,629 29.1 1.9
Woodford 69 1,429 269 18.8 1.1
Unidentified 7,587 0.3
Illinois Total 541,091 158,004 29.2 1.3
County Median 246 1.5
Source: Illinois Lead Program Surveillance Data 2009; National Center for Health Statistics 2008 Vintage NCHS;
** 2006-2008 American Community Survey Three-Year Estimates Available for geographic areas with populations of
20,000 or more, *city of Chicago from the Illinois Center for Health Statistics, 2008
ILLINOIS DEPARTMENT OF PUBLIC HEALTH
Illinois Lead Program Annual Surveillance Report 2009
16
The data for pre-1978 housing unit was calculated from the U.S. Census Bureau 2006-2008 American
Community Survey Three-Year Estimates of year structure was built (B25034) and represents areas with
populations of 20,000 or more.
In 2009, the lead poisoning rate of Illinois children younger than 3 years of age was 1.3 percent with a
range of 0 to 6 based on 158,004 (29 percent) children tested. Table 5 indicates that 55 counties exhibited
lead poisoning rates above 1.3 percent for children younger than 3 years of age.
Table 6: Estimate of the Number of Housing Units in Illinois With Lead Hazards
Based on Table 6, more than 3.6 million homes in Illinois were built before 1978 comprising 5 percent of
the total number of pre-1978 housing units in the nation. More than 2 million homes in Illinois are estimated
to have lead based-paint.
Age of Housing1U.S.
Estimate
Illinois
Estimate
Illinois
(excluding
Chicago)
Estimate
% With
Lead2
Illinois
Units
With Lead
Illinois
(excluding
Chicago)
With Lead
Pre-19783 72,311,831 3,571,700 2,564,733 59% 2,113,179 1,517,412
Pre-1950 25,930,637 1,593,122 930,128 82% 1,318,608 764,271
Built 1970 to 1979 21,261,171 781,493 696,300 24% 187,558 167,112
Built 1960 to 1969 14,745,292 642,913 526,130 24% 154,299 126,271
Built 1950 to 1959 14,626,965 710,471 551,435 69% 490,225 380,490
Built 1940 to 1949 7,529,057 374,487 249,666 69% 258,396 172,270
Built 1939 or earlier 18,401,580 1,218,635 680,462 87% 1,060,212 592,002
Total # of Units 127,762,925 5,240,942 4,058,616
% Occupied 88 91 92
Source: 1Illinois Lead Program from U.S. Census Bureau, 2006-2008 American Community Survey three-year estimate,
Table B25034; 2National Survey of Lead and Allergens in Housing, Volume I: Analysis of Lead Hazards, FINAL REPORT,
Revision 7.1, October 31, 2002. 3For pre1978 calculations, the authors assume equal numbers of houses were built
yearly between 1970 and 1979. http://www.nchh.org/Portals/0/Contents/Article0356.pdf
ILLINOIS DEPARTMENT OF PUBLIC HEALTH
Illinois Lead Program Annual Surveillance Report 2009
17
Factors Affecting Cost of Lead Poisoning Abatement
or Remediation
The vision of the Illinois Lead Program is to provide a lead safe environment for all Illinois children.
According to the “Get the Lead Out Program,” it averages about $9,000 to $11,000 to abate the home of a
lead poisoned child in Illinois compared to the national cost range of $1,200 - $10,800 per housing unit.
The variation in the cost of lead hazard abatement/ remediation is dependent on varied factors like:
• Size of the unit,
• Extent of the lead hazards,
• Type of abatement or remediation,
• Socioeconomic issues,
• Availability of resources,
• Value of the structure and
• Other structural problems.
For example, a three-story Victorian house with ornate wood painted with lead paint throughout the
structure will cost more to abate or remediate. Conversely, a small apartment with only a few lead hazards
will cost less.
ILLINOIS DEPARTMENT OF PUBLIC HEALTH
Illinois Lead Program Annual Surveillance Report 2009
18
Figure 8: Percentage of Children Younger Than 3 Tears of Age With Elevated Blood Lead
Levels in 2009 by County Based on Number of Children Tested.
Children With ElevatedBlood Lead Levels (%)
ADAMS
ALEXANDER
BOND
BOONE
BROWN
BUREAU
CALHOUN
CARROLL
CASS
CHAMPAIGN
CHRISTIAN
CLARK
CLAY
CLINTON
COLES
COOK
CRAWFORD
CUMBERLAND
DE KALB
DE WITT
DOUGLAS
DU PAGE
EDGAR
EDW
ARDS
EFFINGHAMFAYETTE
FORD
FRANKLIN
FULTON
GALLATIN
GREENE
GRUNDY
HAMILTON
HANCOCK
HARDIN
HEND
ERSO
N
HENRY
IROQUOIS
JACKSON
JASPER
JEFFERSON
JERSEY
JO DAVIESS
JOHNSON
KANE
KANKAKEE
KENDALL
KNOX
LAKE
LA SALLE
LAWRENCE
LEE
LIVINGSTON
LOGAN
MC DONOUGH
MC HENRY
MC LEAN
MACON
MACOUPIN
MADISON
MARION
MARSHALL
MASON
MASSAC
MENARD
MERCER
MONROE
MONTGOMERY
MORGAN
MOULTRIE
OGLE
PEORIA
PERRY
PIATT
PIKE
POPE
PULASKI
PUTNAM
RANDOLPH
RICHLAND
ROCK ISLAND
ST. CLAIR
SALINE
SANGAMON
SCHUYLER
SCOTT
SHELBY
STARK
STEPHENSON
TAZEWELL
UNION
VERMILION
WABASH
WARREN
WASHINGTONWAYNE
WHITE
WHITESIDE
WILL
WILLIAMSON
WINNEBAGO
WOODFORD
< 0.1
0.1-1.0
1.1-1.3
1.4 and above
Rockford RegionPercent = 2.1%
Peoria RegionPercent = 2.1%
Edwardsville RegionPercent = 1.4%
West Chicago RegionPercent = 1.2%
Champaign RegionPercent = 8.2%
Marion RegionPercent = 0.8%
Note: The national average number of lead poisoned children as of 2007 is 1.0 percent. (CDC 2007 data).
The Illinois average number of lead poisoned children is 1.3 percent in 2009 and was 1.8 percent in 2007.
Source: Illinois Lead Program Surveillance Data, 2009
ILLINOIS DEPARTMENT OF PUBLIC HEALTH
Illinois Lead Program Annual Surveillance Report 2009
19
Pre 1980 HousingUnits (%)
53.30 - 69.99
70.00 - 79.99
>80.00
High-Risk ZIP Codes
Rockford RegionPercent = 2.1%
Peoria RegionPercent = 2.1%
Edwardsville RegionPercent = 1.4%
West Chicago RegionPercent = 1.2%
Champaign RegionPercent = 8.2%
Marion RegionPercent = 0.8%
Figure 9: Percentage of Children Living in Housing Units Built Before 1980 by County.
Source: 2000 Census data, high-risk ZIP codes
revised by Illinois Lead Program in 2005.
ILLINOIS DEPARTMENT OF PUBLIC HEALTH
Illinois Lead Program Annual Surveillance Report 2009
20
Lead Poisoning and Medicaid Enrolled Children
Blood Lead Screening and Medicaid-eligible Children
Medicaid is used as a proxy for poverty. Data shows that lead poisoning is related to poverty, logically
because old houses occupied by low-income families are less likely to be remediated or abated of leaded
paint hazards.
Figure 10: Medicaid and Non-Medicaid Children Tested for Blood Lead Poisoning: 1996-2008
Figure 11: Medicaid and Non-Medicaid Children Tested With Elevated Lead Levels of 10
Micrograms per Deciliter or Greater: 1996-2008
0
50000
100000
150000
200000
250000
300000
Num
ber o
f Chi
ldre
n Te
sted
Non-medicaidAll children Medicaid
0
10000
20000
30000
40000
50000
60000
All children Medicaid Non-medicaid
Num
ber o
f Chi
ldre
n Te
sted
Data Source: Illinois Department of Public Health-Illinois Lead Program Surveillance Database: 1995-2008 and the
Illinois Department of Healthcare and Family Services Medical Data Warehouse
Data Source: Illinois Department of Public Health-Illinois Lead Program Surveillance Database: 1995-2008 and the
Illinois Department of Healthcare and Family Services Medical Data Warehouse
ILLINOIS DEPARTMENT OF PUBLIC HEALTH
Illinois Lead Program Annual Surveillance Report 2009
21
Figure 12: Percentage of Illinois Children Tested With Elevated Blood Lead Levels by Medicaid
and Non-Medicaid Status: 1996 - 2008
Figure 13: Percentage of New Cases of Lead Poisoned Children by Medicaid and Non-Medicaid
Status: 1996-2008
0.0
4.0
8.0
12.0
16.0
20.0
24.0
28.0
1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008
Medicaid
Non-medicaid
Perc
enta
ge o
f Chi
ldre
nTe
sted
Wit
h El
evat
edBl
ood
Lead
Lev
els
(%)
26.3 25.2 19.3 16.8 14.1 11.0 9.3 7.3 5.5 4.5 3.6 2.8 2.1
20.8 21.1 16.6 14.4 11.9 9.7 8.4 6.3 4.8 4.2 3.3 2.5 1.8
Perc
enta
ge o
f Chi
ldre
n Te
sted
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008
Medicaid Non-medicaid
Data Source: Illinois Department of Public Health-Illinois Lead Program Surveillance Database: 1995-2008 and the
Illinois Department of Healthcare and Family Services Medical Data Warehouse
Data Source: Illinois Department of Public Health-Illinois Lead Program Surveillance Database: 1995-2008 and the
Illinois Department of Healthcare and Family Services Medical Data Warehouse
ILLINOIS DEPARTMENT OF PUBLIC HEALTH
Illinois Lead Program Annual Surveillance Report 2009
22
Regional Distribution of Lead Poisoned Children Identified
in 2009
The Illinois Department of Public Health has been partitioned into six environmental regions with an office
for each region. Each regional office has environmental specialists who conduct home inspections for lead
poisoned children with venous or confirmatory lead levels of 10 micrograms per deciliter or greater.
A total of 1,532 children were identified with confirmed venous elevated blood lead levels of 10 micrograms
per deciliter in Illinois. The West Chicago region had the most cases of (992) compared to the Marion
Region with the least number of cases (28) as shown on Figure 14.
Figure 14: Confirmed (Venous) Cases of Lead Poisoned Children Identified for the First Time
in 2009
Rockford Region
n=123
Peoria Region
n=211
Edwardsville Region
n=91
Marion Region
n=28
West ChicagoRegionn=992
ChampaignRegionn=87
New Cases of Confirmed
Lead Poisoned Children
0-1
2-5
>5Source: Illinois Lead Program Surveillance Data, 2009
Note: National average number of lead poisoned children as of 2007 was 1.0 percent (CDC 2007 data).
Illinois lead poisoning rate is 1.5 percent in 2009 and was 1.8 percent in 2007.
ILLINOIS DEPARTMENT OF PUBLIC HEALTH
Illinois Lead Program Annual Surveillance Report 2009
23
Case Management and Healthy Homes Tips
for Lead Poisoned Children
By Kate Abitogun: Case Management Administrator, Illinois Lead Program
Comprehensive case management is initiated for children younger than 36 months of age with a venous
blood lead level of 10 µg/dL or greater and children 36 months of age and older with a confirmed venous
blood lead level of 20 µg/dL or greater. Once a child is identified, a Public Health Nurse (PHN) visits the
child’s residence and other dwellings where the child spends a significant amount of time (CDC recommends
a minimum of two home visits). The PHN will assess factors that may impact the child’s blood lead levels
such as sources of lead, nutrition, access to services, family interaction and caregiver understanding. The PHN
assesses the activities of the case management team, develops and implements a plan of care and evaluates
the success of the plan of care.
The Illinois Department of Public Health continues to have grant agreements with 87 local health depart-
ments to provide case management visits for lead poisoned children in 92 of 102 counties.Services provided
to all children residing in grantees geographical boundaries include:
• Assessments, testing and nurse home visits
• Case management and social service referrals
• Medical evaluation
• Environmental investigation or referrals for environmental investigation
• Education and Outreach
A home visit for a lead poisoned child is triggered by a confirmed elevated blood lead level based on the
specific age at which the exposure occurred.The specific purposes of a nurse home visit are to:
1. Provide the parent or guardian with information regarding the health status of the child
2. Assess the condition of the child, as well as the condition of his/her environment
3. Educate the parent or guardian on clean indoor air qualities, safety and home health
4. Assess the child’s nutritional status and provide counseling
5. Instruct the parent or guardians as to follow-up procedures and to set up specific appointments as
needed,
6. Initiate appropriate referral to a physician,
7. Initiate referral for environmental investigation,
8. Initiate social service referrals,
9. Provide information on hazard reduction and
10. Evaluate if proper action by parent(s) or guardian(s) has been taken.
Figure 15 indicates nurse home visits for case management services.The Illinois Lead Program and local
health departments provided follow-up medical case management services to 3,171 confirmed new and
existing cases of lead poisoned children in 2009 alone.These cases included newly identified lead poisoned
children and follow-up cases.In Chicago, a home visit is triggered at blood lead levels of 5 micrograms per
deciliter and greater.Overall, 2,362 cases were opened in 2009.Public health nurses conducted home visits
to educate the affected families on ways to lower the blood lead level, including proper nutrition, hygiene
and housekeeping.
ILLINOIS DEPARTMENT OF PUBLIC HEALTH
Illinois Lead Program Annual Surveillance Report 2009
24
Rockford Region
Open = 73
Nurse Home Visits = 44
Peoria Region
Open = 229
Nurse Home Visits = 129
Edwardsville Region
Open = 197
Nurse Home Visits = 84
Marion Region
Open = 68
Nurse Home Visits = 30
West Chicago Region
Open = 1,679
Nurse Home Visits = 2,857
Champaign Region
Open = 116
Nurse Home Visits = 27
Figure 15: Number of Lead Poisoned Cases Managed by Department and Delegate Agency
Staff in 2009
Note: Eighty-Seven delegate agencies and two regional nurse consultants provide medical case management
services for new and existing cases. Chicago opens a case when a child exhibits lead levels of 5 micrograms
per deciliter and above. All other cases are opened at 10 micrograms per deciliter and above. Open refers
to the actual number of children with confirmed elevated lead levels of 10 micrograms per deciliter or
above who require case management follow-up or referral.
Source: Illinois Lead Program Surveillance Data, 2009
ILLINOIS DEPARTMENT OF PUBLIC HEALTH
Illinois Lead Program Annual Surveillance Report 2009
25
The Public Health Home Visit for Environmental Health and Lead Assessment form should be completed
during the home visit.
A Nurse Care Plan is also recommended at the time of visit to raise awareness of a healthy homes approach,
to provide the parent/guardian assistance in understanding the instructions given regarding prevention actions
of home hazards and positive actions regarding needed caregiver support.This will reflect nurse home visit
activities and intervention for the children with elevated blood lead levels and potentially at-risk children.
The Nurse Care Plan will help improve documentation of case management services.
Case management of children with elevated blood lead levels (EBLLs) involves coordinating, providing and
overseeing the services required to reduce their EBLLs to less than the level of concern of 10 µg/dL. Please
refer to, Time Frames for Case Management and Environmental Investigation of Children with Confirmatory EBLLs
(Table 7). It is based on the effort of the multi-disciplinary team that includes the child’s caregiver. According
to CDC, a hallmark of effective case management is communication and education with the caregivers and
other service providers and a cooperative approach to solving any problem that may arise during the effort
to decrease the child’s EBLL and eliminate lead hazards from the child’s environment.
Case management activities include community educational outreach to health care providers, families of
lead poisoned children and the general public. Each of the delegate agencies will start using HHLPSS
(Healthy Homes and Lead Poisoning Surveillance System) as soon as the conversion and transition from
STELLAR (Systematic Tracking of Elevated Lead Levels and Remediation) is completed. The local health
departments without a delegate agency agreement remain as non-delegate agencies. There are currently 10
non-delegate agencies where case management services are provided by the Illinois Lead Program regional
nurse consultants.
In collaboration with the Department and the medical providers, the Illinois Lead Program has developed
a new reference tool for physicians, Guidelines for the Detection and Management of Lead Poisoning for Physi-
cians and Health Care Providers, a two-sided poster that offers medical providers quick access to screening
and medical management decision-making information (Table 8 and Figure 16).
ILLINOIS DEPARTMENT OF PUBLIC HEALTH
Illinois Lead Program Annual Surveillance Report 2009
26
The U.S. Department of Housing and Urban Development (HUD); Office of Healthy Homes and Lead Hazard
Control also developed seven tips for maintaining healthy homes:
• Keep it dry: Prevent water from entering your home through leaks in roofing systems, rain water
from entering your home due to poor drainage and check your interior for any leaks.
• Keep it clean: Control the source of dust and contaminants by creating smooth and cleanable
surfaces, reducing clutter and using an effective wet cleaning method.
• Keep it safe: Store poisons out of the reach of children and in well-labeled containers. Secure
loose rugs and keep children’s play areas free of hard or sharp surfaces. Install smoke and carbon
monoxide detectors and keep fire extinguishers on hand.
• Keep it well-ventilated:Ventilate bathrooms and kitchens and use whole house ventilation for
supplying fresh air to reduce the concentration of contaminants in the home.
• Keep it pest-free: All pests look for food, water and shelter. Seal cracks and openings throughout
the home; store food in pest-resistance containers. If needed, use sticky traps and baits in closed
containers, along with the least toxic pesticides such as boric acid.
• Keep it contaminant-free: Reduce lead-related hazards in pre-1978 homes by fixing deteriorated
painted surfaces and keeping floors and window areas clean by using a wet-cleaning approach. Test
your home for radon, a naturally occurring dangerous gas that enters homes through soil, crawl-
spaces and foundation cracks. Install a Radon removal system if Radon is detected at a level greater
than the EPA action-level.
• Keep it well-maintained: Inspect, clean and repair your home routinely. Take care of minor repairs
and problems before they become large problem and repairs (www.hud.gov/offices/lead).
Table 7 represents the medical management of lead poisoned children based on symptoms and blood lead
concentration. Figure 16 illustrates the lead poisoning assessment and treatment pathway for a child present
for a well child visit between the ages of 12 and 84 months.
Clinical Presentation
BLL 1 - 4 µg/dL
BLL 5 - 9 µg/dL
BLL 10 - 14 µg/dL
BLL 15 - 19 µg/dL
BLL 20 - 44 µg/dL
BLL 45 - 69 µg/dL
BLL ≥70 µg/dL
SYMPTOMATIC
CHILDREN
Treatment
• As recommended by guidelines
• Consider repeat BLL sooner than annually based
on risks
• Medical evaluation
• Monitor BLLs every three to six months or more
often, as indicated
• Screen for iron deficiency
Above actions, plus:
• Monitor BLLs every one to three months or more
often, as indicated
Above actions, plus:
• Monitor BLLs monthly until stable and falling, and
lead hazards have been identified and remediated,
then can lengthen testing intervals
Above actions, plus:
• Succimer (oral, 350 mg/m2/dose) or CaNa2EDTA
(IV, 1000 mg/m2/day x 5 days, in divided doses)
• Abdominal radiograph to check for lead chips,
evacuate bowel as needed
• Hospitalize, as necessary, to ensure lead-safe
environment and medical management
Above actions, plus:
• Hospitalize and monitor BLLs
• Begin management with BAL (IM, BAL 450
mg/m2/day, Q4 hours, x up to three days; four
hours after first BAL dose initiate CaNa2EDTA
(this transiently increases blood lead levels, while
BAL does not)
• Ensure adequate hydration
• Monitor urine for heme
Above actions with these modifications:
• Use BAL, as above x three days and CaNa2EDTA
1500 mg/m2/day x five days
• Interrupt therapy for two days and repeat
treatment, as necessary
Comments
• Ensure that all blood lead test results are reported to
Illinois Department of Public Health
• Consider repeating the blood lead test especially for a
child aged <2 years (blood lead is likely to be on the rise in
this age group), or if testing was done in winter or spring
(when blood lead results are generally lower)
• Provide education regarding nutrition and cleanliness and
information for source identification and avoidance
• Refer to public health department for environmental investi-
gation and public health nurse visit as required by law
• All Illinois children aged 36 months and younger with con-
firmed blood lead levels ≥10 µg/dL are to receive a home
inspection
All above actions
All above actions, plus:
• Refer to latest CDC and American Academy of Pediatrics
recommendations related to chelation management
All above actions, plus:
• Hospitalize if acute symptoms are present and monitor
BLLs
• Additional treatment may be needed depending on blood
lead level rebound
All above actions, plus:
• Do not start iron therapy if on CaNa2EDTA
• Additional treatment may be needed depending on blood
lead level rebound
All above actions, plus:
• Additional treatment may be needed depending on blood
lead level rebound
ILLINOIS DEPARTMENT OF PUBLIC HEALTH
Illinois Lead Program Annual Surveillance Report 2009
27
CHOICE OF MEDICAL MANAGEMENT BASED ON
SYMPTOMS AND BLOOD LEAD CONCENTRATIONGuidelines for the Detection and Management of Lead Poisoning
for Physicians and Health Care Providers
Illinois Lead Program • 866-909-3572
ASYMPTOMATIC CHILDRENBEFORE TREATMENT, MEASURE VENOUS BLOOD LEAD
NOTE: For more comprehensive treatment guidelines, refer to the Preventing and Screening for Childhood Lead Poisoning – A Reference
Guide for Physicians and Health Care Providers.
Some local health departments may conduct nurse home visits and/or refer and conduct home inspections at lower levels.
Table 7: Medical Management Based on Symptoms and Blood Lead Concentration
ILLINOIS DEPARTMENT OF PUBLIC HEALTH
Illinois Lead Program Annual Surveillance Report 2009
28
Is the child currently enrolled in Medicaid,All Kids, or Head Start?
(All children enrolled in Illinois Department of Health-
care and Family Services’ Medical Programs are ex-
pected to receive a blood lead test no matter where
they live.)
Illinois Lead Program Assessment and Screening Algorithm
Child presents for a Well Child Visit between the ages of 12 and 84 months
Does the child live in a high risk ZIP codearea?
(See reverse of Lead Risk Assessment
Questionnaire for listing of high risk ZIP codes.
Note: All Chicago ZIP codes are high risk.)
Does the child live in a low risk ZIP code area?
Is parent/guardian requesting child be testedfor lead
Has child had one previous BLL <10 µg/dL?
Has child had two prior sequential BLLs <10µg/dL with no change in status of housing orpotential exposure since last screening and one test at age ≥2 years?
Has child had previous BLL ≥ 10 µg/dL?
ACTION
Perform blood lead test
(venous or capillary).
WHEN
• Ages 12 and 24 months
or
• Between 24 months and 72 months if
no record of previous test exists
ACTION
Perform capillary or venous screening
for BLL beginning at 912 months.
After two sequential BLLs are <10
µg/dL (most recent at ≥age 2 years),
further BLL tests not indicated un
less exposures increase.
WHEN
• Ages 12 and 24 months
or
• Upon Well Child Visit as indicated
• The city of Chicago requires blood
test to be performed at 6, 12, 18, 24
and 36 months or 9, 15, 24 and 36
months.
ACTION
Complete the Risk Assessment
Questionnaire
(If there is a “yes” or “don’t know”
answer, test immediately.)
WHEN
• Annually at Well Child Visits
• Particularly at ages 1 and 2 years,
and to evaluate changes in lead
exposures for older children
ACTION
Perform blood lead test
(venous or capillary).
WHEN
• Immediately
ACTION
• Reassess risks
• Obtain BLL if risks increase
WHEN
• Annually at Well Child Visits
ACTION
• No further action
WHEN
ACTION
• Assess and obtain BLLs
WHEN
• As advised for the specific level
NO
NO
NO
YES
YES
YES
YES
YES
YES
YES
<10 µg/dLReapply risk assessment in-strument or obtain bloodlead annually at Well ChildVisits.
10-19 µg/dLFollow up with venous testwithin three months (orsooner if there is concern forincreasing BLL or the child isyounger than 1 year old.)
20-44 µg/dLFollow up with venoustest within one week toone month.
45-59 µg/dLFollow up with venoustest within 48 hours
60-69 µg/dLFollow up with venoustest within 24 hours.
≥70 µg/dLDo venous testingimmediately.
Recommendations for subsequent assessment, screening, and/or treatment are based on the follow-up blood test.
Figure 16:
ILLINOIS DEPARTMENT OF PUBLIC HEALTH
Illinois Lead Program Annual Surveillance Report 2009
29
Environmental Investigations and Follow-up of
Lead Poisoned Children
Pursuant to the Illinois Lead Poisoning Prevention Act, inspections of dwellings and common areas occupied
by a person screening positive for lead is performed by a licensed representative of the Department, or
delegate agency personnel, for the purpose of determining the source of lead poisoning.
The Illinois Department of Public Health has grant agreements with 18 delegate agencies to provide environ-
mental investigation services in addition to case management services. Environmental services include
home inspections, risk assessment and case management services. Remediation is required by law when a
lead hazard has been identified in a home where a lead poisoned child lives or regularly visits. Local health
departments not covered by a delegate agency agreement are served by the Illinois Lead Program regional
environmental health specialists located in the six regional offices of the Illinois Department of Public Health.
Environmental remediation is a high priority because medical treatment is ineffective when the child returns
to a harmful environment. Homes of children who exhibit elevated blood lead levels are inspected and a
report of existing lead hazards is provided. Safe work and cleanup procedures are provided as all identified
hazards are required to be controlled or eliminated.
In accordance with the Illinois Lead Poisoning Prevention Act, a total of 2,624 investigations were initiated
at dwellings and common areas of children with a confirmatory blood lead tests of 10 µg/dL or greater in
order to determine the source of lead poisoning (Table 8). Regional environmental investigations, mitigations,
abatements and educational activities performed in 2009 are shown on Table 9.
There were a total of three cases for enforcement found in Edwardsville and Peoria. West Chicago and
Peoria performed 15 enforcements and one local health departments’ field trainings, respectively.
ILLINOIS DEPARTMENT OF PUBLIC HEALTH
Illinois Lead Program Annual Surveillance Report 2009
30
Table 8: Number of Housing Units Referred for Inspection That Were Remediated and
Passed Lead Clearance Testing in 2009
Table 9: Regional Environmental Lead Investigation, Mitigation or Abatement Activities
in 2009
Note: 1Total investigations conducted include primary dwellings, secondary dwellings, follow-up
investigations, complaints and on-site contractor investigations.2Cases were closed or mitigated because:
1. No lead hazard was identified.
2. There was no child with a confirmed elevated lead level.
3. Other dwelling was investigated instead.
4. Dwelling or occupant cannot be located.
5. Dwelling was demolished.
Number of
Housing Units
Referred for
Inspection*
Number of Housing
Units That Received
an Inspection
Number of Housing
Units Identified With
Lead hazards
Number of Housing
Units With Lead
Hazards Remediated
Number of Housing Units
Remediated That Passed
Lead Clearance Testing
N N % N % N % N %
3,180 2,624 83 2,374 90 1,565 66 1,565 100
* According to the Lead Poisoning Prevention Act amended in 2006, Illinois initiates inspection of dwelling and common areas
of children younger than 3 years of age with lead levels of 10 microgram per deciliter or greater.
Act
ion
Cen
tral
Offic
e
Cham
pai
gn
Edw
ardsv
ille
Mar
ion
Peo
ria
Rock
ford
Wes
t C
hic
ago
Tota
ls
Number of Housing Units Investigated1 244 165 226 276 216 200 1,297 2,624
Total Mitigation/Abatement Complete -
Certificate of Compliance Issued0 40 47 41 88 68 763 1049
Total Cases Completed for Other Reasons2 0 10 7 4 1 5 20 52
Public Presentations/Meetings 16 0 0 26 1 14 9 64
ILLINOIS DEPARTMENT OF PUBLIC HEALTH
Illinois Lead Program Annual Surveillance Report 2009
31
Figure 17: Number of Environmental Investigations for Lead Poisoning by the Department
and Delegate Agency Staff in 2009
Rockford Region
n=200
Peoria Region
n=216
Edwardsville Region
n=226
Marion Region
n=276
West Chicago Region
n=1,297
Champaign Region
n=165
Source: Illinois Lead Program Surveillance Data, 2009
Note: Regional offices provide nurse consultations and
environmental investigations. Eighteen delegate agencies
also provide environmental inspection services.
Central Office
Springfield
n=244
Delegate Agency
ILLINOIS DEPARTMENT OF PUBLIC HEALTH
Illinois Lead Program Annual Surveillance Report 2009
32
Educational Activities to Prevent Lead Poisoning in Illinois
Primary prevention is the most reliable low-cost method to reduce childhood lead poisoning and improve
health. The Illinois Lead Program conducted one-day lead poisoning prevention training sessions at all six
regional offices of the Illinois Department of Public Health. All lead training sessions were held from
8:30 a.m. – 3:30 p.m. A total of 54 healthcare professionals were trained on lead poisoning in 2009.
Continuing Education Credits (CEUs) were accorded to qualifying participants. Topics covered in the training
included:
• Lead poisoning case follow-up
• Health effects and treatment of lead poisoning
• Specimen handling and analysis at the Department’s Division of Laboratories
• STELLAR – Systematic Tracking of Elevated Lead Levels and Remediation
• Compliance investigations by the Illinois Department of Public Health
• Environmental case follow-up for lead poisoned children
• Healthy homes initiatives. The sessions also addressed potential risk factors and housing hazards in
the homes.
ILLINOIS DEPARTMENT OF PUBLIC HEALTH
Illinois Lead Program Annual Surveillance Report 2009
33
Healthy Homes Initiatives
What is the Healthy Homes Initiative?
The Healthy Homes Initiative as defined by the Centers for Disease Control and Prevention is a coordinated,
comprehensive and holistic approach to preventing diseases and injuries that result from housing-related
hazards and deficiencies.
Goal: The goal of the initiative is to identify, eliminate or mitigate home-related health problems.
In June 2009, the Surgeon General launched the Call to Action to Promote Healthy Housing, a holistic
approach to establishing a healthy home. Further information may be accessed on the call to action at:
(http://www.surgeongeneral.gov/topics/healthyhomes/calltoactiontopromotehealthyhomes.pdf).
The purpose of Healthy Homes Surveillance, according to the Centers for Disease Control and Prevention
(CDC), is to:
• Identify and track housing-related risk factors and outcomes
• Generate research questions related to housing and health
• Generate intervention strategies related to housing and health
• Evaluate the long-term effectiveness of these strategies
According to CDC, childhood lead poisoning, injuries, respiratory diseases such as asthma and quality of life
issues have been linked to the more than 6 million substandard housing units nationwide.
http://www.cdc.gov/nceh/lead/healthyhomes.htm
More information about the Healthy Homes Initiatives will be published in subsequent reports.
In the United States today, the leading preventable causes of death, disease and disability are asthma,
lead poisoning, deaths in house fires, falls on stairs and from windows, burns and scald injuries and
drowning in bathtubs and pools.
Surgeon General 2009, Call to Action to Promote Healthy Housing.
ILLINOIS DEPARTMENT OF PUBLIC HEALTH
Illinois Lead Program Annual Surveillance Report 2009
34
Illinois Lead Elimination Advisory Council
The program continues to recruit and build capacity and competency among members of its Childhood
Lead Poisoning Elimination Advisory Council whose mission is to foster a creative partnership and imple-
ment a comprehensive statewide strategic plan. The advisory council is composed of a diverse network of
dedicated stakeholders like physicians, public health nurses, health educators, nutritionists, demographers,
environmental public health practitioners, epidemiologists, clinical providers, housing specialists and allied
health professionals. The council is divided into subcommittees who identify or address goals and objectives
related to the elimination of childhood lead poisoning:
• education awareness,
• evaluation,
• primary prevention,
• resources and
• screening plan.
Each committee has a facilitator who reports the progress made toward the completion of the goals and
activities during meetings.
For more information on the Childhood Lead Poisoning Elimination Advisory Council, contact the Illinois
Department of Public Health.
ILLINOIS DEPARTMENT OF PUBLIC HEALTH
Illinois Lead Program Annual Surveillance Report 2009
35
Illinois Lead Poisoning Prevention Internet Resources
Illinois Lead Poisoning Prevention Act
www.ilga.gov/legislation/ilcs/ilcs2.asp?ChapterID=35
410 ILCS 45/Lead Poisoning Prevention Act.
Administrative Code
www.ilga.gov/commission/jcar/admincode/077/07700845sections.html
www.ilga.gov/commission/jcar/admincode/077/07700665sections.html
Lead Risk Assessment Questionnaire
www.idph.state.il.us/a-zlist.htm#L
Select L for Lead
Select Lead Programs Forms
Select Childhood Lead Risk Assessment Questionnaire and Guidelines - En Español - En français
This document also includes Guidelines for Lead Risk Assessment Questionnaire as the second
page and the high-risk ZIP code list as the third page.
Pediatric High-Risk ZIP Code Areas
www.idph.state.il.us/HealthWellness/LeadHighRiskZIPcodes04.pdf
Child Health Certificate of Examination
www.ilga.gov/commission/jcar/admincode/077/07700665sections.html (law)
www.idph.state.il.us/pdf/cert_child_health05.pdf (English)
www.idph.state.il.us/pdf/officialpxS05.pdf (Spanish)
Educational Brochures Order Form
www.idph.state.il.us/envhealth/pdf/Lead_Pub_Order_Form.pdf
ILLINOIS DEPARTMENT OF PUBLIC HEALTH
Illinois Lead Program Annual Surveillance Report 2009
36
Contact Information
Illinois Department of Public Health
Illinois Lead Program
525 West Jefferson Street
Springfield, Illinois 62761
Telephone: 866-909-3572 or 217-782-3517
The hearing impaired can dial 800-547-0466
Web site: http://www.idph.state.il.us/envhealth/lead.htm
U.S. Centers for Disease Control and Prevention (CDC)
Web site: http://www.cdc.gov/lead/
National Lead Information Center
Telephone: 800-424-LEAD (5323)
Web site: www.epa.gov/lead
National Center for Healthy Housing
Web site: http://www.centerforhealthyhousing.org/
Office of Healthy Homes and Lead Hazard Control
U.S. Department of Housing and Urban Development
Telephone: (202) 708-1112 TTY: (202) 708-1455
Web site: http://www.hud.gov/offices/lead/
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Inside back cover.
Inside back cover.
Illinois Department of Public Health
Illinois Lead Program525 West Jefferson Street
Springfield, Illinois 62761
866-909-3572 or 217-782-3517
TTY 800-547-0466 (hearing impaired use only)
Printed by Authority of the State of Illinois
P.O. # 5511513 5M 3/11IOCI 0424-11
ILLINOIS DEPARTMENT OF PUBLIC HEALTH
Illinois Lead Program Annual Surveillance Report 2009